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Home My WebLink About829 W 12th St - Building Site Address: ,.0 'oB't Installed By: CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT PERMIT NO. /797 ~~? . DATE Ie.- READY FOR 0 WILL CALL FOR INSPECTION INSPECTION license Number: Phone: Owner/Business: Phone: Owner/Business Address: Sq. FL l/'\ Residential r Heat KW o Baseboard 0 Furnace/Boiler o Heatpump 0 Other o Commercial/lndustrial load Totai Connected load (attach breakdown) Total Motor load (attach breakdown) o New Construction o Remodel o Service update/alter/repair ~Add/alter circuits o Auxiliary power (list below) o Special equipment (list below) o Overhead o Underground Voltage o 113 0313 Service size o Temporary Amps DetailslDescription: /fdc/;/J ~ '1,ctU B.If. ~~ . W.S. No. Service Capacity: 0 OX 0 Not OX o Ditch inspection OX o Rough-in/cover O.K. o O.K. to connect service JlJ. Final O.K. /wI'- Size Comments Date Hoid for: 0 Easement 0 Letter o Signed up for service/meter o Meter Department notified for installation o Fire Department notified of inspection o Plan Review approved/pending Installer: Permit/Receipt No. 1717 New Meters o . Notify the Dep ment of City Light by Street Address and Permit Number when ready for inspection. Work must not be covered or electrically energized before inspection and O.K. for covering or service has been given by the Inspector in Writing on the Wiring Report or the Building Permit. PHONE 457-0411, EXT.158 or EXT. 224. ~. NO OCCUPANCY OR USE ESTABLISHED UNDER THIS PERMIT 1/ r;!P' I Inspector Amount paid WHITE - file by address YELLOW - file by number PINK - Top: Eng, Bottom: Customer GREEN - Top: Inspector, Bottom: City Hall OLYMPIC PRINTERS. INC. CITY OF PORT ANGELES LIGHT DEPARTMENT ELECTRICAL PERMIT N? 15710 Port Angeles, washlngton.___....3..::::.LL___________'___h""""'______' 19i.f In accordance with the City Ordinance to regulate the Installation, extension, or repair of elec- trical equipment In, on, or about any building or other structure in the City of Port Angeles, per- mission is hereby granted to do electrical work as listed below. Address .___L;)___'Z._______&f;;/.~._~_h__.m__._______________.__ Occupancy__...~._______________..___________ Owner __.,__~;"",-(__' '" "'h'f?L"~-,,-}....<:..t!,,,-rz. TenanL____,...r:..____...___m.___._.____.._____________..._.___________h ~ == "v . "CY/ " Wiring Contractor ______(t.?,-:~J2zd----ea--<,--<f-.---..---,--- By..________________________________________..__________.__h_____.____ LIght Outlet"..............................._.._..... Service, voits ./<?--.y-.:.'?..'i:'..(;,J_...... Type 01 WIring: Receptacle Outlets.........__________..___....... No. wires .--...-~..-.............---...77.... Armored Cable .-----..----..............---. S' 1 Y,,1:') ~ Non-Metallic .......-......................... Dryer, KW __..n..n__.n..............___._________ lze w res...;;...._/..l._.....:........._._.. Main lUBe ........~Q../t......__ Range, KW....____.....___.__________.__..______ Water Heater: Enclosure _______::-.>_._n_.......,..u_....... KW.__m...____m.mm__ Type of wiring: Entrance Cable ......._._.....___........... lIeat: KW.....................u............_..__...u___... Motors: sIze, volts and phase: Rigid Conduit ..00...___________............. Metallic Tubing ........................... Current transtormers: No. & Size......._......_..........._...____..... Ser. No..._..u..........._............_.............. Ser. No. ..........._............_.._...__......00.... Ser. No..______......_..............._......u........ Total Load.....____________._.___...... See. No. ...._...00..._...___.._.......__..._.....__ Knob & Tubeu......................n._...._ Rigid Conduit .................__............ Meta1l1c Tubing ..._....._..___..._........ Raceway ....._...._...._.................._..._ Circuits, Light___..._..................___..._....... Utility............................................. IIeat .____...___............................_...... Range ..................._.._...................... Water Heater ...__............_............. Motor _.._...................__.....__............ Dryer ................._......._......__.............._ Furnace _......_......._.........,~_....._........... Total ........_.........___...n...._........ ::=~~~~~--.::::::::::~::::::::~~~~~====:::::::~~:fr:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: -:'~_=.~~_~~~~:.':.~'_..--:.~~'--"_'.~~""----::~~.~:.'.:~.~:~~:..:~_..----m-"--------::"::512~ylk::~~~.,,- NOTICE-Current must nDt. be turned on unttt Certificate ot Inspection has been issued. It work is to be con. cealed due noUce must be given the Inspector so that work may be inspected betore concealment. NOTIFY THE INSPECTOR BY PERMIT NUMBER WHEN READY FOR INSPECTION ELECTRICAL PERMIT N? 15710 Address....__...___......._........................._.....................,........_....__.....__..__.._...__..__.__.._____..__...............Date..._......_.._......_.........._......_......__._...... Owner ...._..............................___..___..__.....__._...__._.........._......._......................__..._.........._. Tenant..__.....___.............__.__h......_.................._....___... Wiring Contractor h_.._uh_h........_......_......................._......_...._._..............____....._n.._...._..._.__..n___..__.._ By.................................n................._......_.. NOTICE-Current must not be turned on untU Certlflcate ot Inspection has been issued. It work is to be con- cealed due notice must be given the Inspector so that work may be inspected before concealment. 1M Olympic Printers, Inc. ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000188 Date 2/12/18 Application pin number . . . 030816 Property Address . . . . . . 829 W 12TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5162 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bathroom addition ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ (BLISSA M AND STEVE M BELZ OWNER 829 w 12th street PORT ANGELES WA 98363 (508) 373-6217 ----------------- ---------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 2/12/18 valuation . . , . 0 Expiration Date . . 8/11/18 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due Permit Fee Total 75.00 75.00 .00 .00 Elan Check Total .00 00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DITCH SERVICE ROUGH -IN DATE: RESULTS: FINAL �� / COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X REPORT STATE SALES TAX on your excise tax form to the City of Port Angeles (Location Code 0502) 1 6 INSPECTOR Date: f�T CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date: I & 2 Single Family Dwelling * Plan Revie May Be Required, Please Complete Electrical Plan Review Information Sheet Job Address: �.� Y _ /'. ' S 1– Building Building Square Footage: Description of above Owner InfoLtmmation Contractor Information Name: 5:745V5 91c--6--2— Name: Mailing &Oress: %l iv i -7. 7' 5 r Mailing Address: City: ' /'f- State: 1 , 4 Zip: 9J"' 4' 7 City: State: Zip: Phone:-��S'. /s'642 Fax: Phone: Fax: License # / Exp. License # / Exp. Item Unit Charaef3ty Total (Qtv Multiplied by Unit Charnel Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 14 $ 75.00 �_ _ $ Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ ?S—'' Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-468, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: 1 ,` X Dated: ELECTRICAL PERMIT CITY OF PORT ANGELES ' 4 3604174735 'Application Number . . . . . 18-00000188 Date 2/12/18 Application pin number . . . 030816 Property Address . . . . . . 829 W 12TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5162 -0000 - tax form Application type description ELECTRICAL ONLY on your excise Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . (Location Code 0502) Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation 0 __---_-------------------------------------------------- - ----- ---- Application desc Bathroom addition --------------------- ------------------------------------------------------ Owner Contractor ------------------------ ------------------------ MELISSA M AND STEVE M BELZ OWNER 829 w 12th street PORT ANGELES WA 98363 (508) 373-6217 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 2/12/18 Valuation . . . . 0 Expiration Date . . 8/11/18 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ---------- ---------- ---------- ---------- - ---------------- Permit Fee Total 75.00 75.00 .00 .00 g Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN FINAL COMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: ELECTRICAL PERMIT CITY OF PORT ANGELES 3604174735 Application Number . . . . . 18-00000188 Date 2/12/18 Application pin number . . . 030816 Property Address . . . . . . 829 W 12TH ST ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5162 -0000 - Application type description ELECTRICAL ONLY Subdivision Name . . . . . . Property Use . . . . . . . . Property Zoning . . . . . . . RS7 RESDNTL SINGLE FAMILY Application valuation . . . . 0 ---------------------------------------------------------------------------- Application desc Bathroom addition ---------------------------------------------------------------------------- Owner Contractor MELISSA M AND STEVE M BELZ OWNER 829 w 12th street PORT ANGELES WA 98363 (508) 373-6217 ---------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 2/12/18 Valuation 0 Expiration Date . . 8/11/18 Qty Unit Charge Per Extension BASE FEE 75.00 ---------------------------------------------------------------------------- Fee-summary Charged Paid Credited Due Permit Fee 'Dotal 75.00 75.00 .00 .00 -Plan Check Total .00 00 .00 .00 Grand Total 75.00 75.00 .00 .00 REPORT STATE SALES TAX on your excise tax farm to the City of Port Angeles (Location Code 0502) 1 i INSPECTION TYPE DATE: RESULTS: INSPECTOR DITCH SERVICE ROUGH -IN FINAL COMMENTS: V I PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X ,t. Date: CITY OF PORT ANGELES PERMIT APPLICATION Building Division/Electrical Inspections 321 East Fifth Street — P.O. Box 1150 / Port Angeles Washington, 98362 Ph: (360) 4174735 Fax: (360) 4174711 Date: 1 & 2 Single Family Dwelling * Plan RevieW MaX Be Required, Please Complete Electrical Plan Review Information Sheet 7� S T Job Address Building Square Footage: Description of above.'ti Owner In oration Contractor Information Name: �� FG-� Name: Mailing 40dress: Mailing Address: City: /5L State: U -r4 Zip: 9�3 City: State: Zip: Phone:! -.;/s' 6-4Fax: Phone: Fax: License # / Exp License # / Exp. Item Unit Charge (Qty Total (Qtv MUltiolied by Unit Charge) Service/Feeder 200 Amp. $120.00 $ Service/Feeder 201-400 Amp. $146.00 $ Service/Feeder 401-600 Amp $ 205.00 $ Service/Feeder 601-1000 Amp. $ 262.00 $ Service/Feeder over 1000 Amp. $ 373.00 $ Branch Circuit WI Service Feeder $ 5.00 $ Branch Circuit W/O Service Feeder $ 63.00 $ Each Additional Branch Circuit $ 5.00 $ Branch Circuits 1-4 $ 75.00 $ ? 5– — Temp. Service/ Feeder 200 Amp. $ 93.00 $ Temp. Service/Feeder 201-400 Amp. $110.00 $ Temp. Service/Feeder 401-600 Amp. $149.00 $ Temp. Service/Feeder 601-1000 Amp . $168.00 $ Portal to Portal Hourly $ 96.00 $ Signal Circuit/ Limited Energy -1 & 2 Family Dwelling $ 64.00 $ Manufactured Home Connection $120.00 $ Renewable Electrical Energy - 5KVA System or Less $102.00 $ Thermostat $ 56.00 $ Note: $5.00 for each additional T-Stat NEW CONSTRUCTION ONLY: First 1300 Square Ft. $120.00 $ Each Additional 500 Square Ft. or Portion of $ 40.00 $ Each Outbuilding or Detached Garage $ 74.00 $ Each Swimming Pool or Hot Tub $110.00 $ $ --15— Total Owner as defined by RCW.19.28.261: (1) Owner will occupy the structure for two years after this electrical permit is finalized. (2) Owner is required to hire an electrical contractor if above said property is for sale, rent or lease. Permit expires after six months of last inspection. After reading the above statement, I hereby certify that I am the owner of the above named property or a licensed electrical contractor. I am making the electrical installation or alteration in compliance with the electrical laws, N.E.C., RCW. Chapter 19.28, WAC. Chapter 296-46B, The City of Port Angeles Municipal Code, and Utility Specifications and PAMC 14.05.050 regarding Electrical Permit Applications. Signature of owner, electrical contractor or electrical administrator: X Dated: — — Signature of owner or Electrical Contractor X Date: i ELECTRICAL PERMIT CITY OF PORT ANGELES 360-417-4735 Application Number . . . . . 18-00000188 Date 2/12/18 Application pin number . . . 030816 Property Address . . . . . . 829 W 12TH ST REPORT STATE SALES TAX ASSESSOR PARCEL NUMBER: 06 -30 -00 -0 -3 -5162 -0000 - Application type description ELECTRICAL ONLY on your excise tax form Subdivision Name . . . . . . to the City of Port Angeles Property Use . . . . . . . . Property Zoning . . . . . . . RS? RESDNTL SINGLE FAMILY (Location Code 0502) ,Application valuation . . . . 0 - Agp4ication desc - Bathroom addition ---------------------------------------------------------------------------- Owner Contractor ------------------------ MELISSA M AND STEVE M BELZ ------------------------ OWNER 829 w 12th street PORT ANGELES WA 98363 (508) 373-6217 ----------------------------------------------------------------------------- Permit . . . . . . ELECTRICAL ALTER RESIDENTIAL Additional desc . . 1-4 CIRCUITS Permit Fee . . . . 75.00 Plan Check Fee .00 Issue Date . . . . 2/12/18 valuation . . . . 0 Expiration Date 8/11/18 Qty Unit Charge Per Extension BASE FEE 75.00 1 '--------------------------------------------------------------------------- Fee summary Charged ----------------- ---------- Paid Credited Due Permit Fee Total 75.00 ---------- ---------- ---------- 75.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 75.00 75.00 .00 .00 INSPECTION TYPE DATE: RESULTS: INSPECTOR: DITCH SERVICE ROUGH -IN ' FINAL ICOMMENTS: PERMIT WILL EXPIRE SIX (6) MONTHS FROM LAST INSPECTION Signature of owner or Electrical Contractor X Date: i